Search › Florida › 225100000X
Johanna Provencher, DPT
NPI 1508481938 · on the registry since 2020
Practice
- Address
- 1040 Gulf Breeze Pkwy Ste 200
Gulf Breeze, FL 32561 - Phone
- (850) 916-3700
- Organisation at this address
- Anz Ortho Llc
Josh Hackel Md Pa
Ortho Florida, Llc
Ortho Florida, Llc
Roger V Ostrander MdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 76
Additional practice sites
- 1040 Gulf Breeze Pkwy Ste 207, Gulf Breeze, FL
- 4012 N 9th Ave # Pod3, Pensacola, FL
- 1040 Gulf Breeze Pkwy Ste 209, Gulf Breeze, FL
- 4406 N Davis Hwy, Pensacola, FL
- 5660 Gulf Breeze Pkwy Ste A-1, Gulf Breeze, FL
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida